Thomas E Kielma, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001656 Issued in WI

Practice address

524 Milwaukee St
Suite 200
Delafield, WI 53018-1460

Phone

(262) 646-7717

Fax

(262) 646-7871

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 21, 2012 through Sep 21, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Parkway Dental, S.C.

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1578856225
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982763983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 MILWAUKEE ST",
            "address_2": "SUITE 200",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530181460",
            "telephone_number": "262-646-7717",
            "fax_number": "262-646-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 MILWAUKEE ST",
            "address_2": "SUITE 200",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530181460",
            "telephone_number": "262-646-7717",
            "fax_number": "262-646-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELMA",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Lea Kasten, PTA
• Katie Andrew Physical Therapy
• Katie Andrew Physical Therapy
• Michelle J Kelly, D.D.S.
• Kettle Moraine Health Center, S.C.
• Kinetic Sports Medicine and Performance LLC
• Carrie Jo Klay, P.T.A.
• Mark R Knutson, DDS
• Emily Kolaga, PT, DPT, CSCS, CKTP
• Mary Krienke, PT

• General Practice Dentistry in Delafield, WI
• Providers in Delafield, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.